Complaint and Appeals Coordinator

A company is looking for a Coordinator, Complaint & Appeals - Work From Home.

Key Responsibilities

Manage resolution of complaint and appeal scenarios across multiple business units

Ensure timely and customer-focused responses to complaints and appeals

Identify trends and emerging issues, reporting and recommending solutions

Required Qualifications

1 year of experience with both HMO and Traditional claim platforms

1 year of experience in Medicare, benefits, compliance, regulatory analysis, special investigations, provider relations, customer service, or audit

High School diploma or equivalent